Individual
SHELLIE LANE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5355 CHADWICK HOGAN RD, CHAPPELL HILL, TX 77426-5327
(832) 566-6204
Mailing address
5355 CHADWICK HOGAN RD, CHAPPELL HILL, TX 77426-5327
(832) 566-6204
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208989
TX
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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